Provider Demographics
NPI:1326316076
Name:NGUYEN, CATHERINE NHY (PA-C)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NHY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13671 BEACH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3200
Mailing Address - Country:US
Mailing Address - Phone:714-467-4321
Mailing Address - Fax:714-467-4311
Practice Address - Street 1:13671 BEACH BLVD STE A
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3200
Practice Address - Country:US
Practice Address - Phone:714-467-4321
Practice Address - Fax:714-467-4311
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69222207RA0000X
CAPA21907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1093721690Medicaid